Journal of Okayama Medical Association
Published by Okayama Medical Association

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下血を主訴として発見された成人 Meckel 憩室に1例

Morimoto, Yoshinori
Iwagaki, Hiromi
Morishita, Norio
Nakagawa, Hitoshi
Matsubara, Nagahide
Isozaki, Hiroshi
Kaji, Eisuke
Mizuno, Motoo
Shiratori, Yasushi
Tnaka, Noriaki
115_119.pdf 4.01 MB
Abstract
Gastrointestinal bleeding is often intermittent and its souree may be difficult to locate, resulting in delay of definitve diagnosis. Melena usually denotes bleeding not only from the upper, and lower gastrointestine but from the small int estine. Adult Meckel's diverticulum with gastrointestinal beeding is a relatively rare disease and often presents difficulty in preoperative diagnosis. A 65-year-old man was admitted to our hospital due to melena. Upper and lower gastrointestional endoscopy revealed no bleeding stie. (99m)Tc-pertechnetate scintigraphy is well known as a useful tool for preoperative delineation of Meckel's diverticulm. (99m)Tc-pertechnetate scintigraphy was performed in this patient and succesfully depicted the lesion noninvasively. In surgery, Meckel's diverticulum was found at an oral stie 90 cm from the terminalileum, and a sleevereseection was performed. Histopathologically, the diver ticulum had ectopic gastric muco sa and two 5mm ulcers on the border of the gastric mucosa.
Keywords
下血
成人
Meckel憩室
異所性胃粘膜
99mTc-pertechnetateシンチグラフィ
Note
症例報告
ISSN
0030-1558
NCID
AN00032489